presacral schwannoma mascquerading as a uterine leiomyoma

Presacral tumors are a rare group of tumors located posterior to the rectum in the retrorectal or presacral space. due to the lack of specific symptoms and difficult anatomic localization, they present a diagnostic and management challenge for the surgeons. we present a case of retrorectal schwannoma in a young female who was initially misdiagnosed as a uterine fibroid on ultrasound and taken up for myomectomy. the tumor was later successfully excised by a combined abdominosacral approach. the clinical features and management of presacral tumors are discussed in this article.